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220 HIGB ST <br />SALEM OR 97301 <br /> <br /> MARION couNTY <br />DEPARTMENT OF ENVIBONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5147 <br /> <br />ON-SITE SEWAGE D~SPO~AL SYSTEM <br />CONSTRUCTION rNSTALLATION PERMIT: <br /> <br />i_ Tho septic system must be installed as she~n above and must be inspected prio~' to cover~ <br />2. All disposal trencbes shall be installed so as to follow the natural contour o{ l. he ground. <br />3. ~f there are questions concerning the layout of the system, please call our of{~ica prior to <br /> construction of th~ system. <br /> <br />Legal Descfiption: <br /> Tax · <br /> <br />Projected Sewag~ Flow: <br /> <br />.Zssuance Date: <br />Expim~tion ~ate: <br /> <br />.rMPORTANI': ZCee'p this document with your <br /> r~Oords. Show this permit to the <br /> septic system .~nstaller prior to <br /> installatioe of tho system. Any <br /> deviation from the approved plan must <br /> have prior approval from this office. <br /> <br />THIS PERMiT IS NOT~NS~ <br />Signature: <br /> <br /> SYSTEM SPECIFJCAT~ONS: <br /> Type of System: ~[~0 <br /> Septic Tank Capacity: .... (.~0 <br /> Lineal Feet Disposal Field: ~7~ <br />Distribution: ~ <br />iDisposal Trench Depth: [~-~ <br />Filter Material Depth: I~~ <br />Minimum soil Backfill: ~ ...... <br /> Curtain Drain Required: ( ) Yes; (~) NO <br /> Special Requirements: ~-~T~-- ~{S~,~F.%<-~,~ <br /> <br />_gal. min. <br /> <br />Regist~ ~e~ Sanitarian <br /> <br /> <br />